Clinical Appraisal
209 episodes - English - Latest episode: 2 months ago -Evaluating the science and theory of nursing through a rigorous methodological lens
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Episodes
110. Dr. Carrie-Ellen Briere on biomarker research in nursing: The benefits and components of human breastmilk
February 05, 2024 20:27 - 54 minutes - 50.3 MBDr. Briere's recent publication can be read, here: https://www.mdpi.com/2072-6643/16/3/362
109. Don’t get cocky about one-off studies
January 05, 2024 06:02 - 56 minutes - 60.6 MBDon't become an evangelist for Capital S- Science. Instead, be open to the idea that you may not know what you think you know based on singular studies that have never been replicated, and may have results which actually fail the false discovery test.
109. Statistical overreach from single scientific studies
January 05, 2024 06:02 - 56 minutes - 60.6 MBDon't become an evangelist for Capital S- Science. Instead, be open to the idea that you may not know what you think you know based on singular studies that have never been replicated, and may have results which actually fail the false discovery test.
109. Philosophical laziness and problems of replication
January 05, 2024 06:02 - 56 minutes - 60.6 MBDon't become an evangelist for Capital S- Science. Instead, be open to the idea that you may not know what you think you know based on singular studies that have never been replicated, and may have results which actually fail the false discovery test.
108. Practice-changing clinical research is rare
December 28, 2023 04:54 - 42 minutes - 32.2 MBHow often should you expect the clinical research in your field to change your practice? If we assume Price's Law holds in health research regarding the validity of non-Null findings, we should expect a small fraction of published research to provide 'true' results. And amongst them, a smaller and smaller number will harbor all the 'large' effects.
107. Dr. Jacqueline Nikpour on expanding RN practice in Primary Care
December 19, 2023 18:36 - 57 minutes - 52.9 MBJackie Nikpour joins the podcast to discuss her crucial work in the space of primary healthcare and share her thoughts on what it means for RNs to work at the top of their license in primary healthcare in the U.S.
106. Dr. Pamela Grace on Nursing Ethics
December 18, 2023 20:17 - 57 minutes - 52.5 MBDr. Pamela J. Grace joins the podcast for an episode dedicated to a discussion about how nurses can 'do right' by their patients.
105. Don’t mistake experience for truth
December 06, 2023 03:37 - 37 minutes - 39.1 MBDon't devalue new nurses' experiences and assume that, just because you've been in practice a long time it means your practice patterns are based on truisms. The way you've learned to do something and the fact that it's 'worked for you,' doesn't mean it's inherently true. Oftentimes, when studied, we learn what we thought we knew was true... isn't.
105. On clinical overconfidence and devaluing new nurses
December 06, 2023 03:37 - 37 minutes - 39.1 MBDon't devalue new nurses' experiences and assume that, just because you've been in practice a long time it means your practice patterns are based on truisms. The way you've learned to do something and the fact that it's 'worked for you,' doesn't mean it's inherently true. Oftentimes, when studied, we learn what we thought we knew was true... isn't.
104. Scientific evidence trumps medical eminence
November 20, 2023 04:06 - 33 minutes - 24.1 MBThe burden of proof to demonstrate efficacy of biomedical tools (namely, drugs or surgery) is on biomedical scientists and physician-investigators. We are too quick, as a society, to assume their science is particularly good, just because it's popular, they're confident in what they do, and what they do appears impressive. Eminence is trumped by evidence every time, and some things that were hitherto dearly held beliefs by medical scientists as true have been crumbling down around them over ...
103. The unique canvas of nursing practice
November 17, 2023 18:54 - 38 minutes - 29 MBIt is easier to differentiate nursing from other health disciplines when you realize that the framework from which you're practicing not only implies unique processes but leads to distinct, if overlapping, outcomes, and that it's not all about tactics and techniques. Techniques and tactics, while similar, are grounded and applied from distinct frameworks of knowing and unique strategies, in service of often different goals.
102. A hat tip to my NP colleagues
November 13, 2023 03:33 - 41 minutes - 29.4 MBI've recently made the case that I don't believe the NP is practicing nursing anymore, but that they're now medical providers. This is my attempt to buttress the opposing argument, rather that they are simply extending nursing thinking into a legislatively expansive domain of care provision.
102. Taking the opposing view: A hat tip to my NP colleagues
November 13, 2023 02:33 - 41 minutes - 29.4 MBI've recently made the case that I don't believe the NP is practicing nursing anymore, but that they're now medical providers. This is my attempt to buttress the opposing argument, rather that they are simply extending nursing thinking into a legislatively expansive domain of care provision.
101. You are more than a mini medic
November 10, 2023 04:02 - 1 hour - 53.9 MBNursing is unique and we mustn't forget all the ways in which this is true. Medicine is almost always treated as 'the standard' against which other disciplines of healthcare are measured. But why should that be? What right has it earned to maintain that position beyond historical power hierarchies? Certainly contemporary evidence doesn't support that stance. You are an expert nurse. You are not a lower order version of medicine's implementation arm without prescriptive or diagnostic authority...
101. Are you an expert nurse or a mini medic?
November 10, 2023 04:02 - 1 hour - 53.9 MBNursing is unique and we mustn't forget all the ways in which this is true. Medicine is almost always treated as 'the standard' against which other disciplines of healthcare are measured. But why should that be? What right has it earned to maintain that position beyond historical power hierarchies? Certainly contemporary evidence doesn't support that stance. You are an expert nurse. You are not a lower order version of medicine's implementation arm without prescriptive or diagnostic author...
100. On the concepts of data saturation and counting qualitative data
October 12, 2023 04:14 - 25 minutes - 19.1 MB"Don't quantify your qualitative data." Except when you do it without realizing it... Also, sidebar, yay for 100 episodes of the pod.
99. Quant methods aren’t coming to the rescue
October 11, 2023 23:49 - 30 minutes - 23.5 MBWhile qualitative research has challenges, quantitative methodology faces numerous challenges of its own. In the end, what can we really learn about human experience from either form of research? Only that which lies either on the margins, or that which can be captured in an overly simplified model.
98. Maintaining stamina and excellence in your bedside nursing practice (with Michelle Boivin, BSN, RN)
September 25, 2023 02:03 - 1 hour - 146 MBIn this episode, I speak with a well-respected PICU colleague of mine and bedside nursing expert, Michelle Boivin, BSN, RN, about how she has managed to maintain her bedside practice for over 20 years.
97. Dr. Karen Braccialarghe on simulation in nursing education
September 01, 2023 02:38 - 49 minutes - 45 MBhttps://about.me/ianlane/ https://youtube.com/@clinicalappraisal
96. Dr. Mallory Perry-Eaddy on being an early career investigator
August 30, 2023 01:06 - 39 minutes - 35.8 MBhttps://about.me/ianlane/ https://youtube.com/@clinicalappraisal
95. How can I mitigate heel stick pain in newborns?
August 20, 2023 01:38 - 1 hour - 55.7 MBhttps://about.me/ianlane/ https://youtube.com/@clinicalappraisal
94. Is there really a 'medical model?'
August 14, 2023 16:10 - 1 hour - 89.8 MBAccording to the fan-favorite 30-year celebratory piece she wrote in Nursing Science Quarterly in 2017, Dr. Jacqueline Fawcett, Ph.D., RN, FAAN implies that: because the 'medical model' doesn't exist as a conceptual model (from what Dr. Fawcett could find from a brief, non-systematic review), medicine, per se, does not have discipline-specific knowledge and, therefore, isn't a discipline but rather is a 'trade.' Ergo, "medical model" doesn't really exist at all. This is all predicated on fa...
93. Nasal tube Securement: an RCT (McNeely et al., 2023)
August 05, 2023 17:51 - 56 minutes - 51.3 MBAn interesting RCT examining nasogastric tube securement devices versus standard taping methods on accidental dislodgment. https://about.me/ianlane/ https://youtube.com/@clinicalappraisal
93. How should I secure my nasal tube? (McNeely et al., 2023)
August 05, 2023 17:51 - 56 minutes - 51.3 MBAn interesting RCT examining nasogastric tube securement devices versus standard taping methods on accidental dislodgment. https://about.me/ianlane/ https://youtube.com/@clinicalappraisal
92. Debunking Carper's Ways of Knowing
August 04, 2023 23:30 - 1 hour - 68.9 MBWhat else is there to say. https://about.me/ianlane/ https://www.youtube.com/@clinicalappraisal/videos https://www.buymeacoffee.com/ianalaneRN https://www.paypal.com/paypalme/clinicalappraisal
91. Nurse-led chronic wound care (Sili et al., 2023)
July 29, 2023 02:35 - 1 hour - 83.1 MBAn excellent nurse-led RCT of an organizational-level nursing intervention for specialty wound care clinics. (Sili et al., 2023) https://about.me/ianlane/ https://www.youtube.com/@clinicalappraisal/videos https://www.buymeacoffee.com/ianalaneRN https://www.paypal.com/paypalme/clinicalappraisal
91. NURSE-led chronic wound care (Sili et al., 2023)
July 29, 2023 02:35 - 1 hour - 83.1 MBAn excellent nurse-led RCT of an organizational-level nursing intervention for specialty wound care clinics. (Sili et al., 2023) https://about.me/ianlane/ https://www.youtube.com/@clinicalappraisal/videos https://www.buymeacoffee.com/ianalaneRN https://www.paypal.com/paypalme/clinicalappraisal
90. Nursing - What is it? (Hall, 1963)
July 23, 2023 22:07 - 48 minutes - 44.4 MBA review of Lydia E. Hall's seminal 1963 work: "Nursing - What is it?" An important addition to the Clinical Appraisal Nursing Theory podcast series and the inaugural YouTube video podcast upload. Watch on YouTube: https://www.youtube.com/@clinicalappraisal
89. Leveraging the zone of proximal development to grow as a scientist
July 20, 2023 00:00 - 36 minutes - 33.5 MBStruggling with imposter syndrome? In academics, this feeling never goes away. And there's no magical threshold that comes with taking more and more classes to makes you 'ready' to write that first grant or paper. It's time, now, to push yourself to new heights. Watch on YouTube: https://www.youtube.com/@clinicalappraisal
88. Dr. Bernard Garrett on Anti-Empiricism in Nursing
June 26, 2023 20:01 - 1 hour - 51.9 MBA discussion with Nurse Theorist and Scientist, Dr. Bernie Garrett, from UBC School of Nursing, on the problem of New Age Spiritualism in Nursing.
87. Pod-Brief: Qualitative biases & Importance of Clinicians in EBP
June 26, 2023 15:24 - 25 minutes - 18.2 MBA brief discussion of the challenges and biases that arise when interpreting qualitative research, as well as the pivotal role of clinical insights in advancing evidence-based practice in health sciences.
86. Why are you so skeptical?
May 24, 2023 23:41 - 57 minutes - 40.2 MBThis episodes discusses the philosophical importance of skepticism in scientific pursuits.
85. Psych nursing before Thorazine (feat. Dianne Lane, MSN, RN)
April 04, 2023 13:23 - 31 minutes - 21.1 MBIn this episode, Ian speaks with his grandmother, Dianne Lane, a masters-prepared psychiatric nurse and nurse researcher who is now 90 years old. In it, she describes what life was like as a psychiatric nurse pre-psychotropic drugs.
84. What does it mean to advance nursing practice?
March 25, 2023 16:51 - 46 minutes - 34.3 MBWhat is an advanced nurse? Is prescription authority synonymous with APRN practice? What constitutes an APN? These are issues dealt with in this episode of the podcast.
83. Unique contributions of clinical nurse specialists to care teams: Differentiating CNS from NP roles (feat. Dr. Phyllis Whitehead)
November 22, 2022 00:43 - 56 minutes - 40.2 MBIn this episode, Ian speaks with National Association of Clinical Nurse Specialists (NACNS) President, Dr. Phyllis Whitehead, PhD, APRN/CNS, FAAN, about how she conceptualizes the unique contributions to patient care of CNS trained nurses and how one might differentiate the roles of CNS practitioners from nurse practitioners.
83. Dr. Phyllis Whitehead on unique contributions of clinical nurse specialists to care teams
November 22, 2022 00:43 - 56 minutes - 40.2 MBIn this episode, Ian speaks with National Association of Clinical Nurse Specialists (NACNS) President, Dr. Phyllis Whitehead, PhD, APRN/CNS, FAAN, about how she conceptualizes the unique contributions to patient care of CNS trained nurses and how one might differentiate the roles of CNS practitioners from nurse practitioners.
82. Dr. Stephanie Griggs: Sleepy hormones and cosinor models
November 17, 2022 02:24 - 58 minutes - 43.2 MBIn this conversation, Ian talks with Dr. Stephanie Griggs, PhD, RN, FAAN, a sleep self-management expert in pediatrics, focused on young adult health. Stephanie is an assistant professor of nursing at Case Western Reserve University and an up-and-coming force to be reckoned with in academic sleep and diabetes self-management research. Specifically, Ian and Stephanie talk about her academic trajectory and how she came to be using a novel time series modeling technique known as cosinor models ...
82. Sleepy hormones and cosinor models (feat. Dr. Stephanie Griggs)
November 17, 2022 02:24 - 58 minutes - 43.2 MBIn this conversation, Ian talks with Dr. Stephanie Griggs, PhD, RN, FAAN, a sleep self-management expert in pediatrics, focused on young adult health. Stephanie is an assistant professor of nursing at Case Western Reserve University and an up-and-coming force to be reckoned with in academic sleep and diabetes self-management research. Specifically, Ian and Stephanie talk about her academic trajectory and how she came to be using a novel time series modeling technique known as cosinor models ...
81. Good critical appraisal is tricky
July 16, 2022 17:51 - 52 minutes - 37.4 MBIn this episode, Ian discusses the importance of understanding research design and analysis to accurately determine the efficacy of research findings, as well as the frequency with which most research findings are demonstrably proven 'false' over time, according to researchers at Stanford. Additionally, he discusses the impact of clinical scholars understanding how to piece together methodological designs while reading wide swaths of clinical literature and how it makes their critical apprais...
80. My quantitative methods origin story
April 24, 2022 18:59 - 1 hour - 52.1 MBIn this episode, Ian details his journey through quantitative health science and how he originally became interested in statistical methods as applied to research on human health.
79. Research is multimodal
April 03, 2022 17:24 - 1 hour - 45.7 MBReality testing is needed to assess the validity of your abstract constructs, and if it cannot be shown to hold outside of your mental ideals... I am sorry, but it's wrong. We need to go back to the drawing board, in some sense.
78. An argument for the DNP-MSCI
March 20, 2022 16:01 - 48 minutes - 35.9 MBIn this episode, Ian concludes his arguments from the last year as to why we need a track for the DNP-prepared clinical researcher, separable from PhD-typical training pathways, for nurse scientists at the applied or practice-based setting, by teasing apart many of the usual rebukes of this idea that come from traditionally prepared scientists and skeptics. Rebutting many of these positions, Ian points out many logical flaws and inconsistencies in the argument that we ought not prepare a smal...
77. Laboring down on the science of birth (with Melissa Anne Dubois)
March 11, 2022 16:03 - 1 hour - 52.9 MBIn this episode, Ian discusses the science of labor and delivery with Melissa Anne Dubois, a seasoned L&D nurse and soon-to-be Nursing PhD student. They passionately discuss all things maternal health, in the context of what we can learn from the trials that currently exist and where they tend to fall apart from a nursing perspective and potentially fail millions of women and infants. A dynamic guest, Melissa Anne does a great job of being charitable to the medicalization of the birth process...
76. The politics of nursing knowledge (with Dr. Anne Marie Rafferty)
March 08, 2022 17:24 - 1 hour - 45.6 MBIn this episode, Ian speaks with Dr. Anne Marie Rafferty, a nurse, scholar, educator and historian from the UK, about a 1996 book she published entitled "The Politics of Nursing Knowledge," which was largely predicated on her doctoral dissertation work in medical sociology and modern history. They discuss how the book has shaped her career, her thinking, and where some of the big problems are in need of tackling in the field, and traverse elements of the historical context that undergirds ma...
76. Dr. Anne Marie Rafferty on the politics of nursing knowledge
March 08, 2022 17:24 - 1 hour - 45.6 MBIn this episode, Ian speaks with Dr. Anne Marie Rafferty, a nurse, scholar, educator and historian from the UK, about a 1996 book she published entitled "The Politics of Nursing Knowledge," which was largely predicated on her doctoral dissertation work in medical sociology and modern history. They discuss how the book has shaped her career, her thinking, and where some of the big problems are in need of tackling in the field, and traverse elements of the historical context that undergirds ma...
75. Dr. Jacqueline Fawcett on Nursology
February 24, 2022 23:10 - 40 minutes - 29.1 MBIn this episode, Ian interviews a Living Legend in Nursing, Dr. Jacqueline Fawcett, PhD, RN, FAAN. Jacqueline is internationally recognized for her work in meta-theoretical underpinnings of nursing science and practice, and has been credited as revivifying a term from the 1970s, "Nursology", as being most appropriate for our discipline, to distinguish it as a discipline similar to biology or psychology or sociology. Ian was able to ask Jacqueline why she prefers the term and where it origina...
75. Understanding Nursology (with Dr. Jacqueline Fawcett)
February 24, 2022 23:10 - 40 minutes - 29.1 MBIn this episode, Ian interviews a Living Legend in Nursing, Dr. Jacqueline Fawcett, PhD, RN, FAAN. Jacqueline is internationally recognized for her work in meta-theoretical underpinnings of nursing science and practice, and has been credited as revivifying a term from the 1970s, "Nursology", as being most appropriate for our discipline, to distinguish it as a discipline similar to biology or psychology or sociology. Ian was able to ask Jacqueline why she prefers the term and where it origina...
74. Why should I care about Nursing Theory?
February 20, 2022 14:56 - 50 minutes - 38.3 MBIn this episode, Ian responds to a listener question about how he reconciles the apparent contradiction in his recent claims about how most nurses eschew nursing theory so we need to make it more pragmatically relevant to practicing nurses, with the idea that he still finds Nursing Theory to be relevant and important and worth embracing and taking seriously.
73. Trade-offs in clinical research
January 28, 2022 01:07 - 43 minutes - 33.2 MBIn this episode, Ian discusses the importance of clinical trade offs and the implications of the multiplicity problem in terms of real world effects of our overly simplistic theories.
73. Trade-offs and clinical interventions
January 28, 2022 01:07 - 43 minutes - 33.2 MBIn this episode, Ian discusses the importance of clinical trade offs and the implications of the multiplicity problem in terms of real world effects of our overly simplistic theories.